Individual
DR. JESSICA TRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17520 W GRAND PKWY S STE 200, SUGAR LAND, TX 77479-4759
(713) 486-1600
Mailing address
3333 LAKE ST UNIT 15E, HOUSTON, TX 77098-2164
(832) 652-0034
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
S2920
TX
390200000X
Student in an Organized Health Care Education/Training Program
2011016885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405402505
—
TX
Enumeration date
06/29/2011
Last updated
08/23/2022
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